Interactive Multimodal Curriculum on Use and Interpretation of Inpatient Telemetry

Sarah Chuzi, Eric P. Cantey, Erin Unger, James E. Rosenthal, Aashish Didwania, William C. McGaghie, Stuart Prenner

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Introduction: Inpatient telemetry monitoring is a commonly used technology designed to detect and monitor life-threatening arrhythmias. However, residents are rarely educated in the proper use and interpretation of telemetry monitoring. Methods: We developed a training module containing an educational video, PowerPoint presentation, and hands-on interactive learning session with a telemetry expert. The module highlights proper use of telemetry monitoring, recognition of telemetry artifact, and interrogation of telemetry to identify clinically significant arrhythmias. Learners completed pre- and postcurriculum knowledge-based assessments and a postcurriculum survey on their experience with the module. In total, the educational curriculum had three 60-minute sessions. Results: Thirty-two residents participated in the training module. Residents scored higher on the posttest (77% ± 12%) than on the pretest (70% ± 12%), t(31) = -4.3, p < .001. Wilcoxon signed rank tests indicated PGY-3s performed better on the posttest (Mdn = 0.86) than on the pretest (Mdn = 0.72), z = -2.19, p = .031. PGY-2s also performed better on the posttest (Mdn = 0.86) than on the pretest (Mdn = 0.76), z = -2.04, p = .042. There was no difference between pretest (Mdn = 0.66) and posttest (Mdn = 0.71) scores for PGY-1s, z = -1.50, p = .142. The majority of residents reported that the telemetry curriculum boosted their self-confidence, helped prepare them to analyze telemetry on their patients, and should be a required component of the residency. Discussion: This module represents a new paradigm for teaching residents how to successfully and confidently interpret and use inpatient telemetry.

Original languageEnglish (US)
Pages (from-to)10730
Number of pages1
JournalMedEdPORTAL : the journal of teaching and learning resources
Volume14
DOIs
StatePublished - Jul 13 2018

Keywords

  • Cardiac Arrhythmias
  • Cardiology
  • Hospital Medicine
  • Telemetry

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